Mary Elizabeth Dement Ertl, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

33370 Issued in TN

Practice address

1840 Medical Center Pkwy Ste 400
Murfreesboro, TN 37129-3237

Phone

(615) 467-4644

Fax

(615) 467-4645

NPI assigned

Feb 6, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.dementertl@ahp.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Diagnostic Imaging, PC

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464
  Medicare reassignment NPD
• Advanced Diagnostic Imaging PC

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1902502586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8542 BARLOW LN",
            "city": "LASCASSAS",
            "state": "TN",
            "postal_code": "370854205",
            "telephone_number": "330-749-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEDICAL CENTER PKWY STE 400",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293237",
            "telephone_number": "615-467-4644",
            "fax_number": "615-467-4645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8542 Barlow Ln",
            "address_purpose": "LOCATION",
            "city": "Lascassas",
            "state": "TN",
            "postal_code": "370854205",
            "country_code": "US",
            "telephone_number": "330-749-2291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMENT ERTL",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "33370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Delk, PA
• Stephen Dellinger, LCSW
• Sonja Vanetta Brown Deloatch, DR
• Dalines Demarco
• Libby Ann Demarco, M.D.
• Erik Dempsey
• Scott H. Dempsey, NP
• Matthew Denney, CRNA
• John Denning II, PHD
• Dennis Eye Care

• Women's Health Nurse Practitioner in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Women's Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.